a client diagnosed with type 1 diabetes receives insulin he asks the nurse why he cant just take pills instead what is the best response by the nurse

HESI LPN

Leadership and Management HESI Quizlet

1. A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why he can't just take pills instead. What is the best response by the nurse?

A. Insulin must be injected because it needs to work quickly.
B. Insulin can't be in a pill because it is destroyed in stomach acid.
C. Have you talked to your doctor about taking pills instead?
D. I know it is tough, but you will get used to the shots soon.

Correct answer: B

Rationale: The correct answer is B because insulin cannot be taken orally as it gets destroyed by stomach acid. Choice A is incorrect as the speed of action is not the reason why insulin can't be in pill form. Choice C is incorrect as it doesn't address the nature of insulin. Choice D is incorrect as it doesn't provide a factual reason why insulin can't be in pill form.

2. What is the purpose of a healthcare audit?

A. To increase paperwork
B. To assess and improve quality of care
C. To reduce patient satisfaction
D. To limit healthcare services

Correct answer: B

Rationale: The correct answer is B: 'To assess and improve quality of care.' Healthcare audits are conducted to evaluate the quality and efficiency of healthcare services provided. Choice A, 'To increase paperwork,' is incorrect as audits aim to streamline processes and reduce unnecessary paperwork. Choice C, 'To reduce patient satisfaction,' is incorrect as audits are meant to identify areas for improvement to enhance patient satisfaction. Choice D, 'To limit healthcare services,' is also incorrect as audits help in optimizing healthcare services rather than limiting them.

3. Select the criteria that is accurately paired with its indication of birth weight or gestational age.

A. Low birth weight: The neonate's weight is less than 1,500 g at the time of delivery.
B. Appropriate for gestational age: The neonate's weight ranges from the 10th to the 90th percentile.
C. Large for gestational age: The neonate's weight is above the 99th percentile.
D. Small for gestational age: The neonate's weight is below the 20th percentile.

Correct answer: B

Rationale: Appropriate for gestational age (AGA) indicates a neonate's weight ranging from the 10th to the 90th percentile. This range signifies that the baby's weight is within the normal range for their gestational age. Choices A, C, and D provide inaccurate information about the criteria and do not correctly correspond to the indicated birth weight or gestational age. Low birth weight typically refers to a weight below 2,500 g, large for gestational age above the 90th percentile, and small for gestational age below the 10th percentile.

4. Select a myth or falsehood relating to pain, pain management, and addiction.

A. Addiction can be accurately predicted.
B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
C. Pain medications should be avoided in patients with a substance abuse history.
D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.

5. A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?

A. Elevating the head of the client's bed to 30 degrees during mealtime
B. Withholding fluids until the end of the meal
C. Providing a 10-minute rest period prior to meals
D. Instructing the client to place her chin toward her chest when swallowing

Correct answer: D

Rationale: The correct technique for a client with dysphagia is to instruct them to place their chin toward their chest when swallowing. This action helps to close off the airway during swallowing, reducing the risk of aspiration. Elevating the head of the client's bed to 30 degrees during mealtime helps prevent aspiration, but this is not the responsibility of the AP. Withholding fluids until the end of the meal can lead to dehydration and is not a recommended practice. Providing a 10-minute rest period prior to meals is not specifically related to improving swallowing safety for clients with dysphagia.